|
APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$5,690.69
|
|
|
Service Code
|
APR-DRG 2262
|
| Min. Negotiated Rate |
$5,419.70 |
| Max. Negotiated Rate |
$5,690.69 |
| Rate for Payer: BCBS Complete |
$5,690.69
|
| Rate for Payer: Mclaren Medicaid |
$5,419.70
|
| Rate for Payer: Meridian Medicaid |
$5,690.69
|
| Rate for Payer: PHP Medicaid |
$5,419.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,419.70
|
| Rate for Payer: UHCCP Medicaid |
$5,419.70
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$3,466.14
|
|
|
Service Code
|
APR-DRG 1982
|
| Min. Negotiated Rate |
$3,301.09 |
| Max. Negotiated Rate |
$3,466.14 |
| Rate for Payer: BCBS Complete |
$3,466.14
|
| Rate for Payer: Mclaren Medicaid |
$3,301.09
|
| Rate for Payer: Meridian Medicaid |
$3,466.14
|
| Rate for Payer: PHP Medicaid |
$3,301.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,301.09
|
| Rate for Payer: UHCCP Medicaid |
$3,301.09
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$2,948.81
|
|
|
Service Code
|
APR-DRG 1981
|
| Min. Negotiated Rate |
$2,808.39 |
| Max. Negotiated Rate |
$2,948.81 |
| Rate for Payer: BCBS Complete |
$2,948.81
|
| Rate for Payer: Mclaren Medicaid |
$2,808.39
|
| Rate for Payer: Meridian Medicaid |
$2,948.81
|
| Rate for Payer: PHP Medicaid |
$2,808.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,808.39
|
| Rate for Payer: UHCCP Medicaid |
$2,808.39
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$4,604.28
|
|
|
Service Code
|
APR-DRG 1983
|
| Min. Negotiated Rate |
$4,385.03 |
| Max. Negotiated Rate |
$4,604.28 |
| Rate for Payer: BCBS Complete |
$4,604.28
|
| Rate for Payer: Mclaren Medicaid |
$4,385.03
|
| Rate for Payer: Meridian Medicaid |
$4,604.28
|
| Rate for Payer: PHP Medicaid |
$4,385.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,385.03
|
| Rate for Payer: UHCCP Medicaid |
$4,385.03
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$8,484.29
|
|
|
Service Code
|
APR-DRG 1984
|
| Min. Negotiated Rate |
$8,080.28 |
| Max. Negotiated Rate |
$8,484.29 |
| Rate for Payer: BCBS Complete |
$8,484.29
|
| Rate for Payer: Mclaren Medicaid |
$8,080.28
|
| Rate for Payer: Meridian Medicaid |
$8,484.29
|
| Rate for Payer: PHP Medicaid |
$8,080.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,080.28
|
| Rate for Payer: UHCCP Medicaid |
$8,080.28
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$6,001.09
|
|
|
Service Code
|
APR-DRG 0592
|
| Min. Negotiated Rate |
$5,715.32 |
| Max. Negotiated Rate |
$6,001.09 |
| Rate for Payer: BCBS Complete |
$6,001.09
|
| Rate for Payer: Mclaren Medicaid |
$5,715.32
|
| Rate for Payer: Meridian Medicaid |
$6,001.09
|
| Rate for Payer: PHP Medicaid |
$5,715.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,715.32
|
| Rate for Payer: UHCCP Medicaid |
$5,715.32
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$12,260.84
|
|
|
Service Code
|
APR-DRG 0594
|
| Min. Negotiated Rate |
$11,676.99 |
| Max. Negotiated Rate |
$12,260.84 |
| Rate for Payer: BCBS Complete |
$12,260.84
|
| Rate for Payer: Mclaren Medicaid |
$11,676.99
|
| Rate for Payer: Meridian Medicaid |
$12,260.84
|
| Rate for Payer: PHP Medicaid |
$11,676.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,676.99
|
| Rate for Payer: UHCCP Medicaid |
$11,676.99
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$3,724.81
|
|
|
Service Code
|
APR-DRG 0591
|
| Min. Negotiated Rate |
$3,547.44 |
| Max. Negotiated Rate |
$3,724.81 |
| Rate for Payer: BCBS Complete |
$3,724.81
|
| Rate for Payer: Mclaren Medicaid |
$3,547.44
|
| Rate for Payer: Meridian Medicaid |
$3,724.81
|
| Rate for Payer: PHP Medicaid |
$3,547.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,547.44
|
| Rate for Payer: UHCCP Medicaid |
$3,547.44
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$8,277.36
|
|
|
Service Code
|
APR-DRG 0593
|
| Min. Negotiated Rate |
$7,883.20 |
| Max. Negotiated Rate |
$8,277.36 |
| Rate for Payer: BCBS Complete |
$8,277.36
|
| Rate for Payer: Mclaren Medicaid |
$7,883.20
|
| Rate for Payer: Meridian Medicaid |
$8,277.36
|
| Rate for Payer: PHP Medicaid |
$7,883.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,883.20
|
| Rate for Payer: UHCCP Medicaid |
$7,883.20
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$8,639.49
|
|
|
Service Code
|
APR-DRG 5473
|
| Min. Negotiated Rate |
$8,228.09 |
| Max. Negotiated Rate |
$8,639.49 |
| Rate for Payer: BCBS Complete |
$8,639.49
|
| Rate for Payer: Mclaren Medicaid |
$8,228.09
|
| Rate for Payer: Meridian Medicaid |
$8,639.49
|
| Rate for Payer: PHP Medicaid |
$8,228.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,228.09
|
| Rate for Payer: UHCCP Medicaid |
$8,228.09
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$3,000.54
|
|
|
Service Code
|
APR-DRG 5471
|
| Min. Negotiated Rate |
$2,857.66 |
| Max. Negotiated Rate |
$3,000.54 |
| Rate for Payer: BCBS Complete |
$3,000.54
|
| Rate for Payer: Mclaren Medicaid |
$2,857.66
|
| Rate for Payer: Meridian Medicaid |
$3,000.54
|
| Rate for Payer: PHP Medicaid |
$2,857.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,857.66
|
| Rate for Payer: UHCCP Medicaid |
$2,857.66
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$16,554.72
|
|
|
Service Code
|
APR-DRG 5474
|
| Min. Negotiated Rate |
$15,766.40 |
| Max. Negotiated Rate |
$16,554.72 |
| Rate for Payer: BCBS Complete |
$16,554.72
|
| Rate for Payer: Mclaren Medicaid |
$15,766.40
|
| Rate for Payer: Meridian Medicaid |
$16,554.72
|
| Rate for Payer: PHP Medicaid |
$15,766.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$15,766.40
|
| Rate for Payer: UHCCP Medicaid |
$15,766.40
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$5,483.75
|
|
|
Service Code
|
APR-DRG 5472
|
| Min. Negotiated Rate |
$5,222.62 |
| Max. Negotiated Rate |
$5,483.75 |
| Rate for Payer: BCBS Complete |
$5,483.75
|
| Rate for Payer: Mclaren Medicaid |
$5,222.62
|
| Rate for Payer: Meridian Medicaid |
$5,483.75
|
| Rate for Payer: PHP Medicaid |
$5,222.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,222.62
|
| Rate for Payer: UHCCP Medicaid |
$5,222.62
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$4,190.41
|
|
|
Service Code
|
APR-DRG 5663
|
| Min. Negotiated Rate |
$3,990.87 |
| Max. Negotiated Rate |
$4,190.41 |
| Rate for Payer: BCBS Complete |
$4,190.41
|
| Rate for Payer: Mclaren Medicaid |
$3,990.87
|
| Rate for Payer: Meridian Medicaid |
$4,190.41
|
| Rate for Payer: PHP Medicaid |
$3,990.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,990.87
|
| Rate for Payer: UHCCP Medicaid |
$3,990.87
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$1,552.01
|
|
|
Service Code
|
APR-DRG 5661
|
| Min. Negotiated Rate |
$1,478.10 |
| Max. Negotiated Rate |
$1,552.01 |
| Rate for Payer: BCBS Complete |
$1,552.01
|
| Rate for Payer: Mclaren Medicaid |
$1,478.10
|
| Rate for Payer: Meridian Medicaid |
$1,552.01
|
| Rate for Payer: PHP Medicaid |
$1,478.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,478.10
|
| Rate for Payer: UHCCP Medicaid |
$1,478.10
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$8,742.96
|
|
|
Service Code
|
APR-DRG 5664
|
| Min. Negotiated Rate |
$8,326.63 |
| Max. Negotiated Rate |
$8,742.96 |
| Rate for Payer: BCBS Complete |
$8,742.96
|
| Rate for Payer: Mclaren Medicaid |
$8,326.63
|
| Rate for Payer: Meridian Medicaid |
$8,742.96
|
| Rate for Payer: PHP Medicaid |
$8,326.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,326.63
|
| Rate for Payer: UHCCP Medicaid |
$8,326.63
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$2,276.27
|
|
|
Service Code
|
APR-DRG 5662
|
| Min. Negotiated Rate |
$2,167.88 |
| Max. Negotiated Rate |
$2,276.27 |
| Rate for Payer: BCBS Complete |
$2,276.27
|
| Rate for Payer: Mclaren Medicaid |
$2,167.88
|
| Rate for Payer: Meridian Medicaid |
$2,276.27
|
| Rate for Payer: PHP Medicaid |
$2,167.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,167.88
|
| Rate for Payer: UHCCP Medicaid |
$2,167.88
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$5,535.48
|
|
|
Service Code
|
APR-DRG 2331
|
| Min. Negotiated Rate |
$5,271.89 |
| Max. Negotiated Rate |
$5,535.48 |
| Rate for Payer: BCBS Complete |
$5,535.48
|
| Rate for Payer: Mclaren Medicaid |
$5,271.89
|
| Rate for Payer: Meridian Medicaid |
$5,535.48
|
| Rate for Payer: PHP Medicaid |
$5,271.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,271.89
|
| Rate for Payer: UHCCP Medicaid |
$5,271.89
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$10,036.30
|
|
|
Service Code
|
APR-DRG 2333
|
| Min. Negotiated Rate |
$9,558.38 |
| Max. Negotiated Rate |
$10,036.30 |
| Rate for Payer: BCBS Complete |
$10,036.30
|
| Rate for Payer: Mclaren Medicaid |
$9,558.38
|
| Rate for Payer: Meridian Medicaid |
$10,036.30
|
| Rate for Payer: PHP Medicaid |
$9,558.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,558.38
|
| Rate for Payer: UHCCP Medicaid |
$9,558.38
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$15,726.98
|
|
|
Service Code
|
APR-DRG 2334
|
| Min. Negotiated Rate |
$14,978.08 |
| Max. Negotiated Rate |
$15,726.98 |
| Rate for Payer: BCBS Complete |
$15,726.98
|
| Rate for Payer: Mclaren Medicaid |
$14,978.08
|
| Rate for Payer: Meridian Medicaid |
$15,726.98
|
| Rate for Payer: PHP Medicaid |
$14,978.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,978.08
|
| Rate for Payer: UHCCP Medicaid |
$14,978.08
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$7,139.22
|
|
|
Service Code
|
APR-DRG 2332
|
| Min. Negotiated Rate |
$6,799.26 |
| Max. Negotiated Rate |
$7,139.22 |
| Rate for Payer: BCBS Complete |
$7,139.22
|
| Rate for Payer: Mclaren Medicaid |
$6,799.26
|
| Rate for Payer: Meridian Medicaid |
$7,139.22
|
| Rate for Payer: PHP Medicaid |
$6,799.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,799.26
|
| Rate for Payer: UHCCP Medicaid |
$6,799.26
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$13,968.05
|
|
|
Service Code
|
APR-DRG 2344
|
| Min. Negotiated Rate |
$13,302.90 |
| Max. Negotiated Rate |
$13,968.05 |
| Rate for Payer: BCBS Complete |
$13,968.05
|
| Rate for Payer: Mclaren Medicaid |
$13,302.90
|
| Rate for Payer: Meridian Medicaid |
$13,968.05
|
| Rate for Payer: PHP Medicaid |
$13,302.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,302.90
|
| Rate for Payer: UHCCP Medicaid |
$13,302.90
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$6,311.49
|
|
|
Service Code
|
APR-DRG 2342
|
| Min. Negotiated Rate |
$6,010.94 |
| Max. Negotiated Rate |
$6,311.49 |
| Rate for Payer: BCBS Complete |
$6,311.49
|
| Rate for Payer: Mclaren Medicaid |
$6,010.94
|
| Rate for Payer: Meridian Medicaid |
$6,311.49
|
| Rate for Payer: PHP Medicaid |
$6,010.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,010.94
|
| Rate for Payer: UHCCP Medicaid |
$6,010.94
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$5,173.35
|
|
|
Service Code
|
APR-DRG 2341
|
| Min. Negotiated Rate |
$4,927.00 |
| Max. Negotiated Rate |
$5,173.35 |
| Rate for Payer: BCBS Complete |
$5,173.35
|
| Rate for Payer: Mclaren Medicaid |
$4,927.00
|
| Rate for Payer: Meridian Medicaid |
$5,173.35
|
| Rate for Payer: PHP Medicaid |
$4,927.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,927.00
|
| Rate for Payer: UHCCP Medicaid |
$4,927.00
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$9,674.16
|
|
|
Service Code
|
APR-DRG 2343
|
| Min. Negotiated Rate |
$9,213.49 |
| Max. Negotiated Rate |
$9,674.16 |
| Rate for Payer: BCBS Complete |
$9,674.16
|
| Rate for Payer: Mclaren Medicaid |
$9,213.49
|
| Rate for Payer: Meridian Medicaid |
$9,674.16
|
| Rate for Payer: PHP Medicaid |
$9,213.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,213.49
|
| Rate for Payer: UHCCP Medicaid |
$9,213.49
|
|